Overview
Name: LA LAKERS
Specialty: Meals Provider
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Other Service Providers
Classification: Meals
Specialization: .
Definition of Specialty: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: LA LAKERS,2101 NE 2ND ST APT 114,GAINESVILLE,FL,326098626,US
Mailing Address: LA LAKERS,PO BOX 5393,GAINESVILLE,FL,326275393,US
Contact #
Practice location phone #: 3527928069
Practice location fax #:
Mailing address Phone #: 3527928069
Mailing Address fax #:
Authorized official Name/Telephone #:RAVEN, MAYES, DO ONA CNA APN, OSTEOPATHIC MEDICINE PHYSICIAN 3527928069
Misc
Date NPI was obtained: 11/05/2021
Last data data was updated: 11/05/2021
Insurances: